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Microvascular Decompression Surgery for Trigeminal Neuralgia: Technical Review Based on Surgical Anatomy Takamitsu FUJIMAKI 1 1Department of Neurosurgery, Saitama Medical University Keyword: microvascular decompression , trigeminal neuralgia , horizontal fissure , petrosal vein , vascular transposition pp.593-599
Published Date 2008/7/10
DOI https://doi.org/10.11477/mf.1436100763
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 To perform secure microvascular decompression for trigeminal neuralgia, it is important to perform each surgical procedure based on detailed anatomical knowledge. As for microsurgical procedure, there are two major approaches; the supracerebellar approach and the trans-horizontal fissure approach. This article reviews the advantages of each surgical approach and describes points to pay attention to, with figures which will help the surgeon to perform this surgery. The importance of real decompression or transposition of the offending vessels is stressed. The significance of preoperative imaging as well as perioperative management including the patients’ positioning is also described.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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